Sam S. Khorsandi,D.D.S., a Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SAM S. KHORSANDI,D.D.S., A PROFESSIONAL CORPORATION

Practice address

2100 W Beverly Blvd
Montebello, CA 90640-3902

Phone

(323) 724-6009

Fax

(323) 724-5608

NPI assigned

Feb 2, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sam S Khorsandi, DDSNPI 1629109996

Title

Owner

Phone

(310) 720-1430

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sam S Khorsandi, D.D.S

  • Periodontics
  • Encino, CA
  • NPI 1629109996
  NPD Authorized official
• David K Moghimi, D.D.S.

  • General Practice Dentistry
  • Montebello, CA
  • NPI 1558406520
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1962352732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403902",
            "telephone_number": "323-724-6009",
            "fax_number": "323-724-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403902",
            "telephone_number": "323-724-6009",
            "fax_number": "323-724-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM S. KHORSANDI,D.D.S., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-01-31",
        "status": "A",
        "authorized_official_last_name": "KHORSANDI",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-720-1430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Esther Salado
• Salar Hakham, D.O., a Professional Corporation
• Ernest Steven Salazar, D.D.S.
• Shay S Salehrabi, DDS
• Sam Hae, Inc
• San Cristobal Medical Group Inc
• San Gabriel Dental Practice
• Adriana Sanchez, OD
• Brenda Yesenia Sanchez
• Elaine Sanchez, PHARMD.

• Dental Clinic/Center in Montebello, CA
• Providers in Montebello, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.